Analysis of Patient Satisfaction and Loyalty Mediated by Reputation and Conduct of Public Hospital Staff Government of North Sumatra Province
https://doi.org/10.33860/jik.v17i4.3482
Keywords:
Hospital, Non-probability, SamplingAbstract
This research investigates the pivotal role of hospitals in healthcare, categorizing them into general and specialized facilities based on resources and capabilities. Focusing on North Sumatra, the study explores the significance of hospital conditions in influencing patients' choices, particularly in a competitive healthcare landscape driven by responsiveness to quality information. Employing a quantitative approach with non-probability sampling, the research follows a positivist philosophy to examine the connection and influence between independent and dependent variables. Conducted at the General Government Hospital in North Sumatra, the study spans from a preliminary survey in September 2023 to November 2023, with data collection ongoing and results to be presented in a seminar. The analysis reveals a substantial impact of Patient Satisfaction (PS) on Patient Loyalty (PL) (coefficient = 0.581), supported by a t-statistic value of 5.572 (>1.96) and a p-value of 0.000 (<0.05). PS also significantly influences Hospital Staff Behavior (HSB) (coefficient = 0.280, t-statistic = 2.630, p-value = 0.009 < 0.05) and Hospital Reputation (HR) (coefficient = 0.450, t-statistic = 4.789, p-value = 0.000 < 0.05). Hospital Staff (HS) demonstrates a notable influence (coefficient = 0.101) on PL, though the relationship is not statistically significant (t-statistic = 1.520, p-value = 0.129 > 0.05). Similarly, HR influences PL (coefficient = 0.124), but the relationship is not statistically significant (t-statistic = 1.402, p-value = 0.161 > 0.05). Furthermore, PS exhibits a mediated influence on PL through HSB (coefficient = 0.028, t-statistic = 1.221, p-value = 0.223 > 0.05) and through HR (coefficient = 0.056, t-statistic = 1.269, p-value = 0.205 > 0.05). These findings underscore the critical role of patient satisfaction in shaping loyalty, highlighting the mediating effects of Hospital Staff Behavior and Hospital Reputation. Understanding these dynamics is crucial for promoting healthcare competition and enhancing care quality in the North Sumatra region.
References
Robinsyah M. Pelaksanaan Pelayanan Rumah Sakit Bagi Pasien Bpjs Ditinjau Dari Undang-Undang Nomor 24 Tahun 2011 Tentang BPJS (Studi Kasus Rumah Sakit Umum Kota Dumai). Universitas Islam Riau; 2022.
Kemenkes RI. Profil kesehatan indonesia 2020. Kementrian Kesehat Republik Indones. 2021;139.
BPS Provinsi Sumatera Utara. BPS Sumut. Provinsi Sumatera Utara Dalam Angka (Issue 1). 2023.
Friedel AL, Siegel S, Kirstein CF, Gerigk M, Bingel U, Diehl A, et al. Measuring Patient Experience and Patient Satisfaction—How Are We Doing It and Why Does It Matter? A Comparison of European and US American Approaches. In: Healthcare. MDPI; 2023. p. 797.
Asnawi A, Awang Z, Afthanorhan A, Mohamad M, Karim F. The influence of hospital image and service quality on patients’ satisfaction and loyalty. Manag Sci Lett. 2019;9(6):911–20.
Avdic D, Moscelli G, Pilny A, Sriubaite I. Subjective and objective quality and choice of hospital: Evidence from maternal care services in Germany. J Health Econ. 2019;68:102229.
Nasution PA, Kurniawan MF. Evaluasi Capaian Pemerataan Layanan Kesehatan yang Berkeadilan di Era JKN di Provinsi Sumatera Utara.
Meesala A, Paul J. Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. J Retail Consum Serv. 2018;40:261–9.
Lacy BE, Chan JL. Physician burnout: the hidden health care crisis. Clin Gastroenterol Hepatol. 2018;16(3):311–7.
Olesen K, Bathula H. A meta-analysis of the determinants of patient satisfaction and loyalty. Health Mark Q. 2022;39(2):191–210.
Lacap JP, Alfonso KJ. The Mediating Role of Patient Loyalty on the Relationship Between Satisfaction on Physical Environment and Intention to Recommend. Asia-Pacific Soc Sci Rev. 2022;22(2).
Sugiyono D. Statistika untuk Penelitian (Cetakan ke-30). Bandung Cv Alf. 2019;
Malhotra NK. ssentials of arketing Research (Global Edi). Engl Pearson Educ Ltd. 2015;
Hair Jr J, Hair Jr JF, Hult GTM, Ringle CM, Sarstedt M. A primer on partial least squares structural equation modeling (PLS-SEM). Sage publications; 2021.
Liu S, Li G, Liu N, Hongwei W. The impact of patient satisfaction on patient loyalty with the mediating effect of patient trust. Inq J Heal Care Organ Provision, Financ. 2021;58:00469580211007221.
Susanti I, Nyorong M, Sudiro S. Analysis of factors affecting patient loyalty in Bandung General Hospital in Medan. J La Medihealtico. 2020;1(5):6–15.
Akbolat M, Amarat M, Ünal Ö, Sütlü ES. The mediating role of hospital reputation in the effect of doctor reputation on patients loyalty. Int J Healthc Manag. 2023;16(1):12–8.
Aladwan MA, Salleh HS, ALhwadi H. The Impact of Hospital Reputation on Patient Loyalty Mediated by Patient Satisfaction. Turkish Online J Qual Inq. 2021;12(4).
Seti S, Latief A, Wagiman W, Matalatta M. Analysis of Staff Behavior and Performance on Patient Satisfaction Through The Quality of Inpatient Room Services At The Mamuju District General Hospital. Point View Res Econ Dev. 2023;4(1):6–21.
Sasmita FN, Dwiana D, Parera G. Hubungan perilaku asertif perawat dalam memberikan pelayanan keperawatan dengan tingkat kepuasan pasien di ruang seruni RSUD dr. M. Yunus Bengkulu. Prepotif J Kesehat Masy. 2020;4(2):121–30.
Choi U-K. The effects of perceived medical service quality on patient satisfaction, hospital’s reputation and loyalty. J Korea Soc Comput Inf. 2020;25(1):177–85.
Respati R. Analisis Pengaruh Reputasi Dokter Terhadap Loyalitas Pasien Dengan Reputasi Rumah Sakit Sebagai Variabel Intervening (Studi Pada Pasien Rawat Jalan di Rumah Sakit Islam Purwokerto). Universitas Muhammadiyah Purwokerto; 2020.
Maulana I. Peranan Penyampaian dan Operasi Jasa, terhadap Kepuasan Pasien Serta Dampaknya pada Reputasi Rumah Sakit. J Eknomi Dan Bisnis. 2021;8(1).
Erpurini W. The Effect Of Hospital Reputation And Quality Of Service On Patient Satisfaction (Cimahi Private Hospital). J Sci. 2022;11(01):337–46.
Susianta I. Pengaruh Kompetensi Perawat dan Perilaku Perawat terhadap Kinerja Perawat dan Loyalitas Pasien Rumah Sakit Umum Citra Medika Sidoarjo. Sasanti J Econ Bus. 2021;2(1):44–58.
Akbar MI, Risky S. Hubungan kecepatan mendapatkan layanan, ramah dan sikap santun petugas kesehatan terhadap kepuasan pasien rawat inap Rumah Sakit Umum Daerah Buton Utara. MIRACLE J Public Heal. 2020;3(1):11–7.
Amarat M, Akbolat M, Dizlek K. The mediating role of patient satisfaction in the effect of corporate reputation on patient loyalty. Int J Heal Manag Tour. 2022;7(1):64–75.
Yeo SF, Tan CL, Goh Y-N. Obstetrics services in Malaysia: factors influencing patient loyalty. Int J Pharm Healthc Mark. 2021;15(3):389–409.
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